Mississippi Phs PC
NPI #1326278615 in Jackson, Mississippi
Provider Information
- NPI Number
- 1326278615
- Entity Type
- Organization
- Organization Name
- Mississippi Phs PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PROVIDER HEALTH SERVICES LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 21, 2009
- Last Updated
- Jul 2, 2014
Practice Location
- Address
- 405 BRIARWOOD DRIVE
- Address 2
- SUITE 103
- City
- Jackson
- State
- Mississippi
- ZIP Code
- 39206-3029
- Phone
- (901) 261-4848
Authorized Official
- Name
- NICOLE HOWARD
- Title
- CFO
- Phone
- (337) 991-9276
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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